Active NPI
Erica Wilcox
- Professional Counselor
- Southington, CT
National Provider Identifier
1295154979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2459
- Practice address
- 96 Center St
Southington, CT 06489-3108 - Phone
- (860) 266-6098
- NPI assigned
- Apr 10, 2014
- Last updated
- Apr 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2459 | CT | Primary |
Addresses
Primary practice location
96 Center St
Southington, CT 06489-3108
Mailing address
96 Center St
Southington, CT 06489-3108
Phone (860) 266-6098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002459 | Other | CT | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2459 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilcox Wellness, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Southington, CT
- NPI 1033510367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491004800000",
"number": "1295154979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 CENTER ST",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893108",
"telephone_number": "860-266-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CENTER ST",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893108",
"telephone_number": "860-266-6098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2017-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "2459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "002459",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.